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CC BY-NC-ND 4.0 · Rev Bras Ginecol Obstet 2017; 39(04): 175-183
DOI: 10.1055/s-0037-1601453
Original Article
Thieme-Revinter Publicações Ltda Rio de Janeiro, Brazil

Influence of Body Image in Women Undergoing Treatment for Breast Cancer

Influência da imagem corporal em mulheres em tratamento contra câncer de mama
Ana Carolina Lagos Prates
1   Program of Mastology, Hospital das Clínicas, Universidade Federal de Goiás (UFG), Goiânia, Goiás, Brazil
,
Ruffo Freitas-Junior
1   Program of Mastology, Hospital das Clínicas, Universidade Federal de Goiás (UFG), Goiânia, Goiás, Brazil
,
Mariana Ferreira Oliveira Prates
2   Department of Food Technology, Universidade Federal do Mato Grosso do Sul (UFMS), Campo Grande, Mato Grosso do Sul, Brazil
,
Márcia de Faria Veloso
1   Program of Mastology, Hospital das Clínicas, Universidade Federal de Goiás (UFG), Goiânia, Goiás, Brazil
,
Norami de Moura Barros
3   Department of Medicine, Universidade Federal de Goiás (UFG), Goiânia, Goiás, Brazil
› Author Affiliations
Further Information

Publication History

11 July 2016

27 January 2017

Publication Date:
30 March 2017 (online)

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Abstract

Objective The objective of this study was to investigate the self-esteem of women with and without breast cancer regarding their body image.

Methods A quantitative, case-control study in which 90 women with breast cancer were evaluated in the case group, and 77 women without breast cancer in the control group. For data collection, the body satisfaction scale (BSS), a scale adapted and validated in Brazil, and the Rosenberg self-esteem questionnaire were used. For the statistical analysis of the data, the Statistical Package for the Social Sciences software (IBM-SPSS, Chicago, Il, US), version 16.0 was used.

Results Compared with the women without breast cancer, those with breast cancer were more dissatisfied with body image related to appearance. Women undergoing neoadjuvant chemotherapy were more dissatisfied with their appearance compared with those with cancer who were not undergoing this treatment. Mastectomy also accounted for more dissatisfaction concerning appearance among women who underwent the procedure compared with the women who were submitted to breast-conserving therapy.

Conclusion Women with breast cancer were more dissatisfied with their body image compared with those without breast cancer, particularly following mastectomy or during chemotherapy. The self-esteem was found to be negatively affected in patients who were dissatisfied with their body image.

Resumo

Objetivo O presente estudo investigou a influência da imagem corporal na autoestima de mulheres em tratamento de câncer de mama.

Método Estudo caso-controle. Para o grupo caso, foram avaliadas 90 pacientes em tratamento quimioterápico e cirúrgico; e para o grupo controle, 77 mulheres sem câncer de mama. Para a coleta de dados, foi utilizada a escala de satisfação com a imagem corporal (ESIC) e o questionário da autoestima de Rosenberg. Para a análise estatística dos dados, foi utilizado o programa Statistical Package of the Social Sciences (IBM-SPSS, Chicago, Il, EUA), versão 16.0.

Resultados As mulheres com câncer de mama apresentaram maior insatisfação com a imagem corporal relacionada à aparência do que aquelas sem câncer de mama. Aquelas em processo de quimioterapia e as submetidas a mastectomia apresentaram mais insatisfação com a sua imagem corporal relacionada à aparência do que as mulheres submetidas à cirurgia conservadora, que apresentaram maior nível de satisfação. As mulheres submetidas a reconstrução mamária não apresentaram prejuízo na percepção da sua imagem corporal relacionada à aparência. Assim, a percepção da imagem corporal relacionada à aparência pode ser influenciada pela insatisfação em casos de pacientes submetidas a mastectomia ou a quimioterapia.

Conclusão As mulheres com câncer de mama apresentaram maior insatisfação com a sua imagem corporal do que aquelas sem câncer de mama, sobretudo após mastectomia ou durante a quimioterapia. A autoestima foi negativamente afetada em pacientes insatisfeitas com a sua imagem corporal.

Keywords

breast cancer - body image - self-esteem

Palavras-chave

câncer de mama - imagem corporal - autoestima
 

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